A nurse is caring for a patient and performs several ...

[ts19998]

A nurse is caring for a patient and performs several interventions. Which action by the nurse is an independent nursing intervention?
 
  a. Turning every 2 hours
  b. Administering a medication
  c. Inserting an indwelling catheter
  d. Starting an intravenous (IV) for intraven-ous fluids

Question 2

Core temperatures are obtained via which of the following? (Select all that apply.)
 
  a. Axillae
  b. Rectal
  c. Oral
  d. Pulmonary artery
  e. Urinary bladder

[Amiracle]

Answer to Question 1

A
According to state Nurse Practice Acts, independent nursing interventions pertain to ADLs (turning), health education and promotion, and counseling. Nurse-initiated interventions are the independent nursing interventions or actions that nurses initiate. Physician-initiated interventions are dependent nursing interventions or actions that require an order from a physician or another health care professional. Administering a medication, implementing an invasive procedure (ca-theter and intravenous fluids), and preparing a patient for diagnostic tests are examples of such interventions.

Answer to Question 2

D, E
The core temperatures of the pulmonary artery, esophagus, and urinary bladder are often used in critical care settings and require continuous invasive monitoring devices placed in arteries or in-ternal orifices. The most common sites for intermittent temperature measurements are surface sites, such as the tympanic membrane, temporal artery, mouth, rectum, and axilla.